<extend name="Include:Layout"/>
<block name="title">投诉建议</block>
<block name="style">
<style>

</style>
</block>

<block name="main">
	<div class="weui_tab">
		<div class="weui_navbar">
			<div class="toolbar">
		        <div class="toolbar-inner">
		            <a href="javascript:history.go(-1);" class="picker-button close-popup">关闭</a>
		            <h1 class="title" id="banji_title">投诉建议</h1>
		        </div>
		    </div>
		</div>
		<div class="weui_tab_bd container" id="container">
			<div class="weui_cells" style="background:#fff;margin-top:20px;">
		        <div class="weui_cell">
		            <div class="weui_cell_hd"><label class="weui_label">家长手机</label></div>
		            <div class="weui_cell_bd weui_cell_primary">
		                <input class="weui_input" type="number" pattern="[0-9]*" placeholder="请输入验证码">
		            </div>
		        </div>
		        
		        <div class="weui_cell weui_cell_select weui_select_after">
		            <div class="weui_cell_hd">
		                <label for="" class="weui_label">留言主题</label>
		            </div>
		            <div class="weui_cell_bd weui_cell_primary">
		                <select class="weui_select" name="select2">
		                     <option selected="" value="1">主题1</option>
		                    <option value="2">主题2</option>
		                    <option value="3">主题3</option>
		                </select>
		            </div>
		        </div>
		        
		        <div class="weui_cell">
			        <div class="weui_cell_bd weui_cell_primary">
			          	<textarea class="weui_textarea" placeholder="请输入投诉建议" rows="3"></textarea>
			          	<div class="weui_textarea_counter"><span>0</span>/200</div>
			        </div>
			    </div>
		    </div>
		    
		    <div class="weui_btn_area">
		        <a class="weui_btn weui_btn_primary" href="{:U('bangding_next')}">确定提交</a>
		    </div>
		</div>
	</div>
 
</block>

<block name="script">
<script>
$(function () {
	
    
});
</script>
</block>